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Inpatient Obstetrical Certification NCC Questions With 100- Correct Answers._.pdf
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8/24/24, 4:18 AMInpatient Obstetrical Certification NCC
Jeremiah
Practice questions for this set
Terms in this set (123)
Leading cause of perinatal admissions to the Hemorrhagic disorders
ICU
Percentage of deaths related to pregnancy 17-25%
related hemorrhages
Most maternal deaths from obstetric Placental abruption
hemorrhage after first trimester of
Inpatient Obstetrical Certification NCC
pregnancy are due to
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Race most likely to die from post partum African Americans
hemorrhage
Mortality rate (2006) for white women, White women 13.3/100,000
African American women and Hispanic African American women 32.7/100,000
women in the US, stated as deaths per Hispanic women 10.2
100,000 live births
68% of post partum hemorrhage deaths 48
occur within ___ hours of delivery
Obstetric hemorrhage is defined as a TBL or 1000cc
more than
The classic sign of placenta previa is painless vaginal bleeding in the second or third trimester of pregnancy
If you see painless vaginal bleeding in the Placenta previa
second or third trimester of pregnancy,
suspect
previous placenta previa, advanced maternal age greater than 40, previous cesarean,
Risk factors for placenta previa short interval between pregnancies, multiparity,previous abortions with curettage,
smoking, race (Asian women at greatest risk), large placenta
In patients with suspected placenta previa, Do the ultrasound first
which comes first, a speculum examination
or a confirmatory ultrasound.
Fetal blood volume is 100ml/kg
Rising pulse rate
Increase in respiratory rate
Skin changes to pallor
Changes noted during significant blood loss
Falling blood pressure (a late finding)
Decreased urinary output
Decreased LOC
Initially, tachycardia
Characteristic findings in FHR if mother has a Then bradycardia
significant blood loss Sinusoidal-fetal anemia, hypoxia and acidemia
Persistent late decelerations
Percentage of accreta among women with 5-10%
previa
If patient has had 2 or more cesarean Greater than 50%
sections, the likelihood of an accreta is
Fetal vessels cross the placental membranes in the lower uterine segment and cover
Vasa previa
the cervical os
Fetal vessels run across chorion and amnion without protective Wharton's jelly before
Velamentous cord insertion
entering the placental surface
One or more small accessory lobes of placental vascular tissue in membranes that are
Succenturiate placenta
attached to main placenta by fetal vessels
Hemolysis lysis of erythrocytes with the release of hemoglobin
HELLP Hemolysis, Elevated Liver Enzymes, Low Platelets
Per AWHONN, patients with placenta previa 72 hours
should not be discharged to home until they
have gone __ hours with not bleeding
Classic symptom of placental abruption Painful vaginal bleeding after 20 weeks gestation
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